Provider Demographics
NPI:1114908670
Name:WRIGHT, ROBERT ELDON (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:ELDON
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7447 E BERRY AVE
Mailing Address - Street 2:STE 150
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-2142
Mailing Address - Country:US
Mailing Address - Phone:303-689-2300
Mailing Address - Fax:
Practice Address - Street 1:7447 E BERRY AVE
Practice Address - Street 2:STE 150
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-2146
Practice Address - Country:US
Practice Address - Phone:303-689-2300
Practice Address - Fax:303-689-2302
Is Sole Proprietor?:No
Enumeration Date:2005-11-10
Last Update Date:2016-04-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO31074207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
E27889Medicare UPIN